The tendon is the strong cord at either end of a muscle that is attached to the bone. Tendons, combined with their muscles, allow you to move your joints. In the forearm and hand there are over forty different muscles. Many of these muscles perform overlapping functions. After an injury, some of your muscles may not move correctly. A tendon transfer is a surgery that moves a working muscle and tendon to replace a non-working muscle and tendon. For example, after a broken wrist, the tendon to the thumb (EPL tendon) that allows you to make a “thumbs-up” can break. Often, the two ends of the tendon are very damaged and cannot be sewn back together. There are two tendons that extend the index finger, and this finger can function adequately with just one. A hand surgeon can transfer one of the index finger tendons to the thumb to allow you to give a “thumbs-up” again.
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